First Aid Policy & Arrangements Policy Statement York St John University recognises its duty to provide adequate first aid facilities for its staff and will ensure that the requirements of the Health & Safety (First Aid) Regulations 1981 are fully met. It will also ensure that these facilities will fully take into consideration our students, visitors or members of the public for whom the University has legal or moral responsibilities. Arrangements Qualified First Aid staff The Health, Safety & Risk Officer is responsible for ensuring that there are sufficient suitable people nominated and trained in First Aid (whether as fully qualified First Aiders or Appointed Persons). The total numbers of First Aiders will be based upon the identified levels of hazard & risk, number of employees in each area or building; foreseeable absences; work patterns, remoteness from other First Aiders etc. Summoning First Aid Assistance & First Aid Notices Heads of Department and Faculty (and where applicable any individuals to whom they delegate Health & Safety responsibilities) must ensure that all staff know how to obtain a First Aider and notice boards should display the “Health & Safety Accident & Incident Reporting Poster”. Staff working outside normal working hours must be informed how to summon the emergency services, if required. First Aid Boxes First Aid boxes will be maintained in all areas, and it will be normal practice for each fully qualified First Aider to be provided with a Standard 10 Person First Aid kit, and to be responsible for its contents. (See also the Guidance below for First Aid Kit contents). They are also responsible for reviewing and keeping up to date any other First Aid Kits in their Faculty or Department. First Aid Treatment & Recording Treatment First aid treatment must only be provided by staff who are fully qualified First Aiders, holding a current first aid certificate. Any treatment provided must be strictly in accordance with the training given. First Aiders must keep a written record of all treatment which they give in respect of injury or ill health and this achieved by the completion of the generic University ‘Accident, Dangerous Occurrence or near Miss Report’. (See also Reporting). Further information & guidance Guidance for First Aiders and Appointed Persons (See Below) Health, Safety & Risk Officer on Ext. 6613 Health & Safety Executive (‘HSE’) Guidance on First Aid http://www.hse.gov.uk/firstaid/ How do staff or students obtain first aid assistance? Always following the instructions in the “Health & Safety Accident & Incident Reporting Poster” overleaf which should be publicly displayed in all Faculties & Departments. 1 Health & Safety Accident & Incident Reporting In the event of an accident, dangerous occurrence or near miss in your workplace or elsewhere in the University; 1. If needed, call for a First Aider to treat the injured person as follows; During Office Hours call Reception by dialling 0 (Open 8 till 5.30 Monday to Thursday, 8 till 5 Friday) Out of Office Hours or at Weekends call Security Office by dialling (87)6444 . All Officers are First Aid Trained and the Office is open 24 hours a day). 2. Always report the accident or incident to your line manager, as soon as possible. 3. Always help them to complete a copy of the University Accident, Dangerous Occurrence or Near Miss form. The line manager must record on this form the action that they will take to prevent reoccurrence and keep a copy for their records. 4. The line manager must always send a copy of the completed form to the Health, Safety & Risk Officer. NB Copies of the Accident Form are available on the Staff Homepage (//Health & Safety/Information and Forms/ Accident and Incident Report Form) Guidance for First Aiders and Appointed Persons The following guidance is to assist First Aiders and Appointed Persons in the performance of their duties. Further information and guidance can be obtained from the Health, Safety & Risk Officer as required. 2 Who are First Aiders ? ‘First Aiders’ are staff who hold a current first aid certificate issued by a Health & safety Executive (‘HSE’) approved organisation. A First Aid at Work Certificate is awarded upon successful completion of a 4 day training course. The certificate is valid for 3 years and a 2 day refresher course should ideally be completed before the expiry date of the certificate. (Note: New procedures on re-qualification were announced by the HSE in May 2006. In summary this explains that where it has not been possible, the HSE will allow extension of the certificate for 28 days beyond the expiry date, within which a requalification course should be completed, otherwise the full 4 day course must be undertaken to renew it. (Go to http://www.hse.gov.uk/firstaid/review/may06.htm ‘Appointed persons’ are people who are responsible for taking charge in an emergency situation. E.g. calling for an ambulance, and also for ongoing matters such as maintenance of the first aid box. The law does not require them to hold any qualifications, however, the University provides a half day training course. Examples of those trained to Appointed Person level are Student Wardens, Disability Support Workers and Recreation Sports Services (‘RSS’) Assistants. What items should a newly qualified First Aider hold? First Aid Certificate – supplied by the training organisation, First Aid kit – supplied through the Health, Safety & Risk Officer, Access to further first aid supplies and training, Accident, Dangerous Occurrence & Near Miss Forms, A copy of the current ‘Policy & Arrangements for First Aid’ (i.e this document). What responsibilities do First Aiders and Appointed Persons have? Undertaking monthly checks of first aid equipment that they hold or have normal access to, Keeping records of all accidents which they respond to and of any first aid treatment given using the University Accident & Incident Report Form. Ensuring First Aid Notices are kept up to date. Ensuring that their First Aid Certificates do not expire. Returning portable first aid kits on leaving the employment of the University. Should first aid treatment be recorded? Yes. Treatments must be undertaken strictly in accordance with the training provided. First Aiders must record details of all treatments in respect of injury or illness which they respond to by completing a University Accident, Dangerous Occurrence or Near Miss Form. First aid treatment may only be provided by staff that are fully qualified First Aiders and who hold a current First Aid Certificate. Other Staff who are health professionals (such as staff from Health & Life Sciences) should not be asked to provide such treatment unless they are also First Aid trained and with a current certificate. 3 Appointed Persons are only permitted to provide the emergency first aid treatment that they have been trained for and should summon the help of a fully qualified first aider wherever possible. Can a First Aider be held liable if treatment fails? Not if the actions were taken in good faith and to the best of the First Aider’s ability. Where genuine efforts are to no avail, the First Aider will not be held liable for any adverse outcome. To succeed, a civil claim would have to establish that the First Aider had been negligent in some demonstrable way and that this negligence had caused or worsened the patient’s condition. Is it necessary to arrange insurance cover to protect First Aiders from claims of negligence by those they treat? No, additional cover is not necessary. In the unlikely event of the above scenario occurring, any First Aider who is acting on behalf of York St John would be covered under our Employer’s Liability Insurance (if the aggrieved injured party was a member of staff) or under our Public Liability Insurance (if the individual was a student or a member of the public). Are First Aiders at risk from infections such as HIV when dealing with bleeding or when trying to resuscitate someone? No, provided that all sensible precautions are taken. The Human Immuno-deficiency Virus (HIV) is for example only passed on through the exchange of bodily fluids. Disposable gloves should be available for use by First Aiders and blood spillages should be cleaned up promptly with a disinfectant as approved by Domestic Services. One way polythene shields (resusciades) are available as a standard stock item in the First Aid Kits which are designed to be placed over the face of the patient to allow for resuscitation without physical contact. There are no known cases of a First Aider ever having been infected with HIV through attempted resuscitation. There are other viruses that are however more contagious than HIV, such as Hepatitis B, so it is sensible to always exercise caution and use barriers such as gloves when administering first aid. How do we call for an ambulance? If as a First Aider or Appointed Person you believe that an ambulance is necessary this can be achieved by either dialling 0 for Switchboard and a member of the Reception Team will call one for you or by dialling (9) 999, ask for an Ambulance and provide, The exact location of the patient, A brief summary of the medical condition, The sex and approximate age of the patient, Your name and contact telephone number. If you call for the Ambulance direct you must subsequently notify Reception (or if at weekends or out of hours Security Office (87) 6444) who can also assist in directing 4 the ambulance on arrival so as not to waste valuable time in them searching for the casualty. Should First Aiders accompany ill or injured persons to hospital or home? This really depends on the circumstances and all First Aiders should use their judgement on whether or not this is necessary. If for example an individual has injured a finger which may need to be x-rayed, it may seem reasonable for them to walk unaccompanied to Accident & Emergency from Lord Mayor’s Walk. However, two patients may react differently to the same sort of injury and if you have any doubt about an individual’s safety in going to hospital unaided you should accompany them. If necessary, a taxi can be called for this purpose and the expenses claimed back from the Health, Safety & Risk Officer. Once they have been booked in at Accident & Emergency there is no need for you to stay with the patient – you have performed your role as required. However if a patient is taken to hospital by ambulance there is no need for a First Aider to accompany them. The Paramedics have full care of the individual. Should next of kin be advised that first aid treatment has been provided? If an individual who has received First Aid is being sent to Accident & Emergency or being sent home as a result of accident or ill health it is reasonable to ask them if they wish for the University to contact a family member or next of kin on their behalf. Clearly however this should be the choice of the individual concerned as they (whether a member of staff, student or visitor) may not wish for such contact to be made. We do however have a duty of care in such matters, and if someone has a serious injury or is not in a condition to clearly state their wishes it is reasonable for university management to make a decision on their behalf. The following individuals have a responsibility to undertake this by attempting to contact the individual’s next of kin or family; In the event of an accident to a; Member of Staff – the Director of HR (or their Deputy), Member of the student community – the Director of Student Services (or their Deputy), Can a First Aider give an aspirin to a member of staff with a headache? No. No medication of any kind may be administered or prescribed by First Aiders e.g. aspirins, paracetamol, sprays or creams. No First Aider or Appointed Person is trained to administer such items and they must never be held in the First Aid Boxes. Over the counter medicines e.g. Pain Killers are available for sale at the Students Union and Crush Bar Shop. Individuals can also be directed to the nearest chemist or to their own GP. 5 Epipens Some individuals carry their own medication such as inhalers for asthma or ‘Epipens’ which contain injectable adrenaline for the treatment of severe allergic (anaphylactic) reactions, for example to peanuts. These medications are prescribed by a doctor. If an individual needs to take their own prescribed medication, the role of the First Aider role is limited to helping them do so and contacting the emergency services as appropriate. Medicines legislation restricts the administration of injectable medicines. Unless self administered, they may only be administered by or in accordance with the instructions of a doctor (eg by a nurse). However, in the case of adrenaline there is an exemption to this restriction which means in an emergency, a suitably trained lay person is permitted to administer it by injection for the purpose of saving life. The use of an Epipen to treat anaphylactic shock also falls into this category. Therefore, First Aiders may administer an Epipen; if they are dealing with a life threatening emergency in a casualty who has been prescribed and is in possession of an Epipen and where the first aider is trained to use it. What First Aid Equipment & Facilities are provided? A standard 10 Person First Aid kit is made available for the use of all First Aiders (and in addition many Departments and Faculties also hold their own First Aid Boxes). The contents of the box or kit must be in accordance with the Health and Safety (First Aid) Regulations 1981. The University does not have a dedicated first aid room and does not support the use of a Rest or Recovery Room which would present difficulties of monitoring and supervision of any individual receiving or awaiting care. Portable First Aid Kits - What equipment should be contained in a portable first aid kit? The Standard University First Aid Kits are 10 Person Kits kept in an easily identifiable (green with a white cross), watertight box. All First Aid Kits must have the contents card overleaf; 6 FIRST AID BOXES AND KIT CONTENTS First Aid Boxes should contain a sufficient quantity of suitable first aid material and nothing else. Please replenish items as soon as possible after use, Please ensure items are not used after the expiry date, Please check the contents frequently to ensure that all items are stocked & usable. Most University First Aid boxes are Standard 10 Person kits & must contain the following: Product Quantity Code with St John Ambulance First Aid in an Emergency Booklet 1 P20229K Assorted Waterproof Plasters pack of 10 2 F10760 Eyepad – No 16 2 F90105 Triangular Bandage (90x90x127) 4 F11603 Safety Pins (Pack of 6) 1 F12700 HSE Medium Dressing (12x12) 6 F90106 HSE Large Dressing (18X18) 2 F90107 Cleansing Wipes (Pack of 6) 6 F11500 Nitrile Powder Free Gloves 3 F12634 Additional Items to add to Standard 10 Kits Following feedback received the following items have been added to the Standard List. Product Quantity Code with St John Ambulance Blue Dot Resuscitation Face shields 1 F79168 Eyewash vials 20ml 2 If you require replacement items please contact David Peacock in Stores Ext 6646. If you would like other stock items for your First Aid Kits please contact Neil Rogers Health, Safety & Risk Officer n.rogers@yorksj.ac.uk or Ext 6613 Dec 2006 Are there other First Aid Kits Yes, additional, comprehensive First Aid Kits (Sports or Sports Extra kits) are located at; The All Weather Pitch Portacabin Hull Road, Hull Road Sports Pavilion, Foss Sports Hall (the smaller store cupboard by Reception), Security Office at Lord Mayor’s Walk. These are of course available for the use of all First Aiders Should first aid equipment be discarded if it is beyond its expiry date? Although most first aid supplies (dressings, etc) will not deteriorate greatly, it is prudent to dispose of and replace items that go out of date. In addition all items should be disposed of if the seal has been broken. 7 How are First Aid materials replaced? First Aiders and Appointed Persons must replace used supplies and those which have gone out of date by contacting David Peacock Stores Assistant in Facilities (Ext 6646) who will order and deliver the items required. All First Aid items are supplied on the University Health & Safety budget. If you have any queries about First Aid items please contact Neil Rogers the Health, Safety & Risk Officer . Who organises first aid training? All First Aid Training is organised through Neil Rogers. The main training providers that the University uses are First on Scene http://www.firstonscene.co.uk and St John’s Ambulance http://www.sja.org.uk/training/default.asp who run their courses at their training centre at Clifton Moor, York. Policy Approved: By Health & Safety Committee February 2007 (H&S Office Policy Reference Number HSP5) 8